HomeMy WebLinkAboutAPPLICATION - 19-00329 - 71 N 3rd W - ElectricalSTATE OF IDAHO DIVISION OF BUILDING SAFETY 1090 East Watertower Street, Suite 150
• Sd Meridian, Idaho 83642
�6Evacc • eeT �� � Ae a 6�r� ��r� Ph: 1-800-955-3044
Fax 1-877-810-2840
�j APPLICATION FOR CONTRACTOR PERMIT dbs—jaoV
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Date:
Please fill out this application completely and submit with payment. If you have questions or need assistance completing the application, please call the
Division of Building Safety. Please note: permit fees are non-refundable and non -transferable.
COMPANY NAME:
LICENSE#:
MAILING ADDRESS: Az x r i'
CITY:
PHONE:_'' r' ct vg
EMAIL ADDRESS:c.Ir> C ,
STATE: —:7.
FAX-
I WOULD LIKE THE ABOVE INFORMATION TO BE UPDATED ON MY LICENSE RECORD.
ZIP: , 133.2s
SELECT THE METHOD YOU WISH TO RECEIVE YOUR PERMIT:
f EMAIL ❑ MAIL ❑ FAX
DESCRIPTION OFWORK: c_ t Lrl
JOB SITE ADDRESS: `7 f N 3 r,,(
CITY:
ZIP: COUNTY: / 1 /1' bbd,,
(If known) LOT: BLOCK: SUBDIVISION:
OWNER EMAIL ADDRESS:
IS THIS A STATE OWNED FACILITY? YES
DIRECTIONS TO JOB SITE:
N04 JOB NAME:
AN ADDITIONAL $65 FEE MAY BE ASSESSED if the location is not clearly given either by directions or an attached map.
THIS PERMIT APPLICATION IS NOT AN INSPECTION REQUEST: Please call 1-800-839-9239 or go to dbs.idaho.gov
to schedule your inspection, it is the responsibility of the permit holder to arrange access to the premises with the property
owner in order for DBS to perform the inspection.
WeAccept: cash, check. money order, Visa and MasterCard GRAND TOTAL FEES PAID*
Make checks payable to the Division of Building Safety or DBS t" r
*Please use the worksheet on page 2 to determine the total fees and enter the amount to be paid here.
PUBLIC RECORDS NOTICE — Business information such as your company address and phone number is regarded as public information
according to the Idaho Public Records Act. Your business address and phone number may be provided to a third party upon written request.
DATE: t/,/5/j 7
SIGNATURE:
PRINTED NAME:
Page 1
Revised 12/26/17
s •
STATE OF IDAHO DIVISION OF BUILDING SAFETY
B -T� 1090 East Watertower Street, Suite 150
Meridian, Idaho 83642
• S 1-800-955-3044
Fax1-877-810-2840
ELECTRICAL PERMIT WORKSHEET (FEE SCHEDULE) dbs.idaho.aov
This worksheet must accompany the Contractor Application. Use this worksheet to calculate the fees and transfer the grand total to the
application.
RESIDENTIAL
• Temporary Construction Services ONLY (200 amp or less, one location): $65
Total $
• New Residential: Single Family Dwelling, including all associated outbuildings in connection with primary or
secondary residence.
$
Based on living space (see definition below)
Up to 1,500 sq.ft. $130
1,501 to 2,500 sq.ft. $195 Total Square Footage
$
2,501 to 3,500 sq.ft. $260
.:, 3,501 to 4,500 sq.ft. $325
-, Over 4,500 sq.ft. $325 plus $65 for each additional 1,000 sq.ft. or portion thereof
$325 + ( $65 x # of additional 1,000 sq.ft. or portion thereof')
• Manual S, J, & D Review - $25 (Required when installing the primary heating and/or cooling system)
• New: Multi -Family Dwelling
Duplex Apartment $260
�. Three or more multi -family units: $130 per building plus $65
perunit ( $130 x # of buildings +$
($65 x # of unitsUKE)
xisting Residence ;1 1, Manufactured or Mobile Homes ❑ Detached Shop:
$65 fee plus $10 per additional branch circuit,
up to the maximum of the corresponding sq.ft. of
the building (one circuit is included in the $65.00) $65 + ( $10 x # of additional branch
$ �✓
circuits )
• Residential Electric Space Heating and Air Conditioning$65.OQ
• Pumps -Water, Irrigation, Sewage (each motor): $65 up to 2517 HP �: $95 - 26 to 200HP c $130 over OHP
Phase inverters and roto phase equipment,
$
please use the Other Installation including Commercial/Industrial fee
in addition to the um motor fee.
$
• Residential Spas, Hot Tubs, Hydro Massage Tubs and Swimming Pools: $65 fee for each trip to inspect
• Use Other Installations below for non-residential installations
$
• Signs/Outline Lighting: c Signs - $65 per sign Outline Lighting - $65 per occupancy
$
• Temporary Amusement: $65 fee plus $10 per ride, concession, orgenerator
$65 + ( $10 x it of ride/concession/generator)
$
• Irrigation Machine: $65 for center pivot plus $10 per tower or drivemotor
$65 + ( $10 x # of tower/drive motor) $
Requested Inspection
(Findings or Inspector Consultation) Contractor cannot call in for power off over 1 year. $65.00 per hr $..
• Small Works: $10 fee for work not exceeding $200 in cost and not involving a change in service connections.
This Permit is not applicable to those installations where an inspection is required or requested; no inspection
is included in the $10 fee. $
OTHER INSTALLATIONS -including COMMERCIAUINDUSTRIAUSOLAR/RENEWABLE ENERGY
• The fees listed under this inspection type shall apply to any and all electrical installations not specifically mentioned elsewhere on
this form. This shall include all labor, materials, equipment, overhead and profit, as well as all labor, materials, and equipment supplied
by others. The project value cannot be reduced by labor, material or equipment that is donated or supplied by others. Atthe time of
"Final" inspection, the Scope of Work, valuation. and permit fees will be verified.
Total cost of electrical system (Job Value Amount): $ $
Up to $10,000: ( total cost of system x 0.02) + 60 = $
= Between $10,001 - $100,000: ( (total cost of system — 10,000) x 0.01) + $260 =$
Over $100,001: ( (total cost of system — 100,000) x 0.005) +$1,160 =$
Renewable Energy: Requires plan check prior to final inspection.
GRAND TOTAL: $Please transfer this fee
Living Space — space within a dwelling unit intended for human habitation which may reasonably be utilized for sleeping, eating, cooking, bathing, ng, wyour ashing tion
ecreation. and sanitation purposes. An unfinished basement is considered part of the living space.
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